| Name: | Idaho Shoulder to Hand Specialists, P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 03 Oct 2019 (5 years ago) |
| Financial Date End: | 31 Oct 2024 |
| Entity Number: | 3637886 |
| Place of Formation: | IDAHO |
| File Number: | 682791 |
| ZIP code: | 83704 |
| County: | Ada County |
| Mailing Address: | 6590 W NORWOOD DR BOISE, ID 83704-8765 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IDAHO SHOULDER TO HAND 401(K) PLAN | 2023 | 843356271 | 2024-10-08 | IDAHO SHOULDER TO HAND SPECIALISTS, P.C. | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-08 |
| Name of individual signing | VIPUL NANAVATI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085063665 |
| Plan sponsor’s address | 6590 W. NORWOOD STREET, BOISE, ID, 83704 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-08 |
| Name of individual signing | VIPUL NANAVATI |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085063665 |
| Plan sponsor’s address | 6590 W. NORWOOD STREET, BOISE, ID, 83704 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | VIPUL NANAVATI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| VIPUL NANAVATI | Agent | 6590 W. NORWOOD STREET, BOISE, ID 83704 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Vipul N Nanavati | President | 3381 W. BAVARIA ST., EAGLE, ID 83616-5341 | 2020-10-23 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Application for Reinstatement | 0005824779 | 2024-07-25 |
| Dissolution/Revocation - Administrative | 0005556753 | 2024-01-10 |
| Annual Report | 0004953726 | 2022-10-14 |
| Annual Report | 0004439061 | 2021-10-05 |
| Annual Report | 0004040420 | 2020-10-23 |
| Initial Filing | 0003637886 | 2019-10-03 |
Date of last update: 31 Dec 2024
Sources: Idaho Secretary of State
